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目的:安定、利多卡因宫颈注射联合术前阴道上药米索前列醇与单纯用利多卡因在人流术中的疗效观察。方法:将在我院计划生育门诊确诊早孕后,要求行无痛人流的孕妇,设置分成两组。研究A组:采用宫颈注射安定、利多卡因联合应用米索前列醇术前1小时阴道放置;B组对照组,宫颈直接注射利多卡因行人工流产术,观察两组阵痛效果,宫颈软韧,人工流产综合征发生率及手术操作难易度。结果:研究阵痛效果;宫颈软化程度,手术时间及人流综合征发生率均优于对照组。结论:安定、利多卡因联合米索前列醇用于人工流产阵痛效果好,用药后宫颈松弛,解决了初孕妇人流术中宫颈扩张的困难,手术时间短,且简便安全,并发症机率低,能有效减轻人流时的痛苦,预防人流综合征发生率,降低了麻醉手术的风险,术者操作简便,值得临床推广。
OBJECTIVE: To observe the curative effect of diazepam and lidocaine combined cervical injection on preoperative vaginal administration of misoprostol and lidocaine alone in abortion. Methods: In our hospital, family planning clinic diagnosed early pregnancy, requiring painless pregnant women, set into two groups. Study Group A: Cervical injection of stability, lidocaine combined with misoprostol vaginal discharge 1 hour before surgery; B group control group, direct injection of lidocaine cervical abortion, the two groups were analgesic effect, soft and tough cervix , The incidence of induced abortion syndrome and surgical operation difficulty. Results: To study the effect of pain; cervical softening degree, operation time and incidence of flow syndrome were better than the control group. Conclusion: The combination of diazepam and lidocaine combined with misoprostol has good analgesic effect on abortion. The cervix relaxes after treatment, which solves the difficulty of cervical dilation during abortion in first trimester women. The operation time is short, safe and convenient, the complication rate is low, Can effectively reduce the pain of the flow of people to prevent the incidence of human flow syndrome and reduce the risk of anesthesia surgery, the surgeon is simple and worthy of clinical promotion.